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Evaluation of the California Mental Health Services Authority's Prevention and Early Intervention Initiatives

Evaluation of the California Mental Health Services Authority's Prevention and Early Intervention Initiatives: Progress and Preliminary Findings

M. Audrey Burnam
Sandra H. Berry
Jennifer L. Cerully
Nicole K. Eberhart
Copyright Date: 2014
Published by: RAND Corporation
Pages: 418
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  • Book Info
    Evaluation of the California Mental Health Services Authority's Prevention and Early Intervention Initiatives
    Book Description:

    Evaluates the progress of the California Mental Health Services Authority’s statewide Prevention and Early Intervention initiatives and establishes a baseline for risk factors and long-term outcomes that the initiatives target.

    eISBN: 978-0-8330-8998-4
    Subjects: Psychology, History, Health Sciences, Sociology

Table of Contents

  1. Front Matter
    (pp. i-iv)
  2. Preface
    (pp. v-vi)
  3. Abstract
    (pp. vii-viii)
  4. Table of Contents
    (pp. ix-xiv)
  5. Figures
    (pp. xv-xvi)
  6. Tables
    (pp. xvii-xx)
  7. Summary
    (pp. xxi-xxx)
  8. Acknowledgments
    (pp. xxxi-xxxii)
  9. Abbreviations
    (pp. xxxiii-xxxv)
  10. 1. Introduction
    (pp. 1-7)

    This report presents early findings from an ongoing evaluation of the California Mental Health Services Authority (CalMHSA) statewide Prevention and Early Intervention (PEI) program, a set of new program activities that together represent the implementation of interdependent statewide strategies designed to reduce mental health stigma and discrimination, prevent suicide, and reduce negative consequences associated with mental health problems among California’s students.

    The CalMHSA statewide PEI program aims to reduce adverse outcomes for people who experience mental illness in the state of California. The PEI program is composed of three strategic initiatives that are developing statewide capacities and interventions intended to...


    • 2. Stigma and Discrimination Reduction
      (pp. 9-56)

      In this chapter, we review findings to date in regard to each of the Stigma and Discrimination Reduction (SDR) Initiative Program Partners. These partners include Disability Rights California, Entertainment Industries Council, Inc., Integrated Behavioral Health Project/Center for Care Innovations, Mental Health Association of San Francisco, National Alliance on Mental Illness, Runyon Saltzman & Einhorn, United Advocates for Children and Families, and the SDR Consortium. These Program Partners have been developing and implementing materials and outreach activities that aim to reduce stigma and discrimination through changing policies, protocols, and procedures, or guidelines; developing and implementing educational materials, trainings, and presentations that...

    • 3. Suicide Prevention
      (pp. 57-86)

      In this chapter, we review findings to-date regarding key Suicide Prevention (SP) Program Partner activities and products. There are 15 Program Partners – seven of which are funded directly by CalMHSA and eight via subcontracts – that have been working to expand or enhance crisis counseling via hotlines, warmlines, Internet-based “chat,” or text messaging. In addition, one of the crisis centers has been funded to strengthen the network of crisis centers in the state and enhance best practices for suicide prevention, one Program Partner has been focusing on social marketing related to suicide prevention, and another has been conducting trainings to improve...

    • 4. Student Mental Health
      (pp. 87-138)

      In this chapter, we review findings to date in regard to the SMH Program Partners. These partners include the California County Superintendents Educational Services Association, the California Department of Education, the University of California, the California State University, and the California Community Colleges. These Program Partners have been developing and implementing a range of activities designed to prevent and intervene early with student mental health issues, focused primarily on K– 12 schools and higher education campuses across California. These activities include conducting a broad range of trainings, developing materials for online website use, and establishing collaborations within and across educational...


    • 5. RAND General Population Survey Baseline Results
      (pp. 141-170)

      In this chapter, we present the results of a general population statewide survey of California adults. The survey is intended to provide a measure of the population-level knowledge, beliefs, attitudes, and behavioral intentions that are targets for change across the three PEI initiatives and Program Partners’ activities (see list of survey topics in Table 5.1). The survey will be administered again in approximately one year to help determine population-level changes across the items listed in Table 5.1 and provide some insight into the degree to which these changes might be attributable to CalMHSA statewide PEI activities. A full listing of...


    • 6. Commentary
      (pp. 173-180)

      In this section, we step back from the detailed findings to date to offer our commentary on “how it’s going so far.” Stakeholders are intensely interested in knowing, as soon as possible, whether these investments in prevention and early intervention have been worthwhile, and what, if any, further investments are justified. The statewide PEI program investments were intended as one-time infusions of Proposition 63 tax dollars to develop prevention and early intervention program capacities that did not previously exist, and to launch a broad, multicomponent, prevention and early intervention campaign. The program activities included in this campaign are generally consistent...

  14. References
    (pp. 181-188)
  15. Appendix A. Program Partner Descriptions
    (pp. 189-198)
  16. Appendix B.1. SDR Evaluation Tools – Key Document Tracking Tool
    (pp. 199-203)
  17. Appendix B.2. SDR Evaluation Tools – Training and Educational Presentations Worksheet
    (pp. 204-208)
  18. Appendix B.3. SDR Evaluation Tools – Sign-In Sheet
    (pp. 209-212)
  19. Appendix B.4. SDR Evaluation Tools – Pre-Post Training Survey
    (pp. 213-224)
  20. Appendix B.5. SDR Evaluation Tools – Follow Up Survey
    (pp. 225-230)
  21. Appendix B.6. SDR Evaluation Tools – Entertainment Industries Council, Inc. Journalist Follow-Up Survey
    (pp. 231-235)
  22. Appendix B.7. SDR Evaluation Tools – Entertainment Industries Council, Inc. Media Follow-Up Survey
    (pp. 236-240)
  23. Appendix B.8. SDR Evaluation Tools – Website Survey
    (pp. 241-244)
  24. Appendix C.1. Suicide Prevention-Related Material – Suicide Prevention Fidelity Monitoring (ASIST)
    (pp. 245-267)
  25. Appendix C.2. Suicide Prevention–Related Material — Suicide Prevention Hotline Monitoring
    (pp. 268-286)
  26. Appendix C.3. Suicide Prevention–Related Material—Crisis Line Evaluation Studies
    (pp. 287-290)
  27. Appendix D. Student Mental Health Tools
    (pp. 291-350)
  28. Appendix E. Review of SDR Program Partner Websites and Their Contents
    (pp. 351-356)
  29. Appendix F. Definition of Website Analytics Terms
    (pp. 357-357)
  30. Appendix G. General Population Survey Items
    (pp. 358-383)